npcdcs

2. introduction
• The burden of non-communicable diseases (NCD) is quickly overtaking
the burden of communicable diseases, such as water-borne or vector-
borne illnesses, TB, HIV, etc. in India.
• According to estimates, non-communicable illnesses including diabetes,
cancer, chronic respiratory disorders, and cardiovascular diseases cause
over 60% of all fatalities. NCDs significantly reduce the number of years of
life that may have been productive. Losses resulting from preventable
deaths from heart disease, stroke, and diabetes are also expected to rise
over time.
• The National Programmed for Prevention and Control of Cancer, Diabetes,
Cardiovascular Diseases, and Stroke (NPCDCS), which was introduced in
2010 with a focus on bolstering infrastructure, human resource
development, health promotion, early diagnosis, management, and
referral, aims to prevent and control major NCDs.

3. • Under the NPCDCS, NCD Clinics are being constructed
at the district and CHC levels to offer services for early
diagnosis, treatment, and follow-up for common NCDs.
NCD Cells are being formed at the national, state, and
district levels for programme administration. For
patients visiting NCD clinics, free diagnostic tools and
medications have been made available under the
initiative. Additionally, facilities for emergency cardiac
care are being established in designated districts
through the creation of cardiac care units (CCUs). Day
Care Centers are put up to offer facilities for cancer
care in the districts that have been chosen.

4. • The concept was put into action between
2010 and 2012 in 100 districts spread across
21 States. Reviewing the early phase of
programme implementation assisted in
locating the bottlenecks, and the programme
was re-planned and scaled-up as a result. By
March 2017, the campaign hopes to reach
every citizen of the nation.

5. Strategies components
• With the help of the community, civil society, community-based
groups, media, etc., health may be promoted through changing
behaviour.At all levels of the health care delivery system, from the
sub-center and above, outreach camps are planned for
opportunistic screening for the early diagnosis of diabetes,
hypertension, and common malignancies.the early diagnosis,
treatment, and follow-up of chronic non-communicable illnesses,
including Cancer, Diabetes, CVDs, and Stroke, through the
establishment of NCD clinics.Create capacity for IEC/BCC,
operational research, early diagnosis, early treatment,
rehabilitation, and prevention at all levels of the healthcare
system.Support diagnosis and affordable treatment at the primary,
secondary, and tertiary levels of care.Through a strong surveillance
system, assist the creation of a database of NCDs.

6. • Support the creation of a database of NCDs and the monitoring of NCD mo
rbidity, mortality, and risk factors through an effective surveillance system.
•
The program's total cost from 2012 to 2017 is Rs. 8,096 crore (share of Go
vernment of India is Rs. 6,535 crore and that of State Governments is Rs. 1
,561 crore).
• State PIPs of the individual States or UTs are used to provide the cash to th
e States under NCD Flexi-Pool, with a 60:40 center-to-
state allocation (except for NE and Hilly States, where the share is 90:10).
•
The Tertiary Care Cancer Centers (TCCC) project, which intends to establish
/strengthen 20 State Cancer Institutes (SCI) and 50 TCCCs for delivering co
mprehensive cancer care in the nation, is for the cancer component.

7. • The plan provides for a "one-time grant" of Rs.
120 crore each SCI and Rs. 45 crore per TCCC,
to be utilised for building construction and
equipment purchases, with a 60:40 center-to-
state allocation (except for North-Eastern and
Hilly States, where the share is 90:10).